RCEM FRCEM Actual Free Exam Questions & Community Discussion
A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?
Closure of which structure is most likely responsible for this finding?
Correct Answer: C
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An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
Impaired (unction of which nerve is most likely responsible?
Impaired (unction of which nerve is most likely responsible?
Correct Answer: D
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A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
Correct Answer: C
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A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?
Which clinical sign are you most likely to find?
Correct Answer: C
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A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?
Correct Answer: B
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A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?
Correct Answer: D
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A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?
Correct Answer: C
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You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?
Correct Answer: A
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A 53 year old man on anticoagulation presents with pain over his anterior abdomen following an episode of coughing A CT scan identifies an isolated haematoma within the rectus sheath above the arcuate line Which artery is most likely to have been injured?
Correct Answer: A
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A 71 year old man with a history of heart failure and type II diabetes mellitus presents with an acute, painful, swollen first metatarsophalangeal joint in his foot You suspect gout.
Which treatment would be most appropriate for the acute management of this patient*?
Which treatment would be most appropriate for the acute management of this patient*?
Correct Answer: D
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